Doctor Name: | JENNIFER DAHMS |
NPI Number: | 1013178730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | 1388 |
Business Practice Address: | 2995 N Cole Rd Suite 130 Boise, ID - 837045964 |
Business Phone Number: | 2085592348 |
Business Fax Number: | 8885594660 |
Mailing Address: | 2995 N Cole Rd, Suite 130 BOISE |
State: | ID |
Postal Code: | 837045964 |
Phone Number: | 2085592348 |
Fax Number: | 8885594660 |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |